ADAM JOSEPH DINIUS (PA-C) – Physician Assistant, NPI 1407634967

ADAM JOSEPH DINIUS (PA-C) is a healthcare provider. based in Kent, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.PA.61479624 (WA). The NPI Number for ADAM JOSEPH DINIUS (PA-C) is 1407634967

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JOSEPH DINIUS (PA-C)
NPI
1407634967
Phone
(253) 293-6516
Address
22120 116TH AVE SE
Enumeration Date
18 September 2023
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535722842
Graduation Year
2023 (3 years ago)
PAC ID
3577919851
Group Practice PAC ID
5193995777
Professional Enrollment ID
I20231023001779
Address ID
WA984998410LA7502XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for ADAM JOSEPH DINIUS (PA-C)

  • 22120 116TH AVE SE

    KENT, WA 980312313

    Phone: (253) 293-6516

    Type: Mailing

  • 1901 S UNION AVE STE B3003

    TACOMA, WA 984051803

    Phone: (253) 572-2842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $2,866.

Total Amount is formed as General ($2,866) + Research ($0) + Ownership ($0) = $2,866.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($850).

Total Amount

$2,866

General + Research + Ownership

Payments

84

Total payment records

General Amount

$2,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231023001779IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193995777View full group profile
NameSpecialtyState
Nurse PractitionerWA
Physician AssistantWA
Physician AssistantTN
Physician AssistantCA
Nurse PractitionerMI
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

How do I look up ADAM JOSEPH DINIUS (PA-C) by NPI?
Use NPI 1407634967 when you need to reference ADAM JOSEPH DINIUS (PA-C) in forms, claims, or directories.
Is ADAM JOSEPH DINIUS (PA-C) active in the national directory?
ADAM JOSEPH DINIUS (PA-C)'s public NPI profile is in an active state.
What does ADAM JOSEPH DINIUS (PA-C) treat or focus on?
Patients typically see ADAM JOSEPH DINIUS (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ADAM JOSEPH DINIUS (PA-C)'s primary listing?
We display Kent, Washington because that is what the record indicates for ADAM JOSEPH DINIUS (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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